Experiences using silicone gel tie-over dressings following skin grafting.
Twenty-six patients with 27 skin grafts treated with tie-over dressings using silicone gel sheets containing 0.02 per cent Ofloxacin are described. This method ensured direct in-progress inspection of healing of the grafted skin. Although the silicone gel tie-over procedure without any additional pressure resulted in haematoma and congestion in four out of 12 grafts (33.3 per cent), in the group with additional pressure (approximately 20-30 mmHg) limited to the early period after surgery there was no haematoma and congestion of the grafts in 15 grafts (P less than 0.05, Chi-square test). It is surmised that adequate pressure applied to the graft for a few days after surgery would be beneficial in preventing haematoma formation.
Sawada
Y
Y
Department of Plastic and Reconstructive Surgery, Hirosaki University School of Medicine, Japan.
Yotsuyanagi
T
T
Ara
M
M
Sone
K
K
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002056:Burns / Q000601:surgery / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005782:Gels; D006406:Hematoma / Q000517:prevention & control; D006801:Humans; D008297:Male; D008875:Middle Aged; D009779:Occlusive Dressings; D015242:Ofloxacin / Q000627:therapeutic use*; D012828:Silicones; D016038:Skin Transplantation; D013530:Surgical Wound Infection / Q000517:prevention & control
D005782:Gels; D012828:Silicones; D015242:Ofloxacin